Ahs Henryetta Hospital LLC
A Medicare group practice based in Henryetta, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9638143282), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9638143282
- Provider type
- Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 5
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040820000595 | OK | Part A Provider - Hospital | 1720053556 |
| O20050219000008 | OK | Part B Supplier - Clinic/Group Practice | 1720053556 |
| O20070406000137 | OK | Part A Provider - Hospital | 1588733828 |
| O20190702002822 | OK | Part A Provider - Rural Health Clinic | 1871008722 |
| O20190516000175 | OK | Part A Provider - Rural Health Clinic | 1295232478 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Ahs Henryetta Hospital LLC
dba Utica Park Clinic Primary Care
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1295232478
-
Ahs Henryetta Hospital LLC
- Medicare Defined Swing Bed Hospital Unit
- Henryetta, OK
- NPI 1588733828
-
Ahs Henryetta Hospital LLC
dba Hillcrest Hospital Henryetta
- General Acute Care Hospital
- Henryetta, OK
- NPI 1720053556
-
Ahs Henryetta Hospital LLC
dba Utica Park Clinic Family Care
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1871008722
Practice locations
- Henryetta, OK5
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (4).
-
Russell Kyle Brown, DO
- Internal Medicine Physician
- Henryetta, OK
- NPI 1770003063
-
Michele Diane Crawley, APRN, CNP
- Family Nurse Practitioner
- Henryetta, OK
- NPI 1184046336
-
Eugene O Dickens, M.D.
- Surgery Physician
- Tulsa, OK
- NPI 1306801675
-
Clayton Wayne Flanary, DO
- Internal Medicine Physician
- Tulsa, OK
- NPI 1740215680
-
Julie Anne Knox, CRNA
- Certified Registered Nurse Anesthetist
- Henryetta, OK
- NPI 1467519496
-
Michael Shawn Lowe, MD
- Surgery Physician
- Tulsa, OK
- NPI 1700834918
-
Eric Mathis, DO
- Family Medicine Physician
- Lawton, OK
- NPI 1699238105
-
Judd Miller
- Internal Medicine Physician
- Okemah, OK
- NPI 1235628918
-
Shawna Kay Passman, DO
- Family Medicine Physician
- Tulsa, OK
- NPI 1265921449
-
Priscilla Rashelle Phelps, APRN
- Nurse Practitioner
- Jenks, OK
- NPI 1346992740
-
Stephanie A Rucquoy, APRN
- Nurse Practitioner
- Henryetta, OK
- NPI 1518674563
-
Tamara Suzanne Sadler, DNP
- Family Nurse Practitioner
- Henryetta, OK
- NPI 1013682053
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.